bachelorThesis
Ventilación mecánica por distres respiratorio en paciente masculino de 70 años de edad con lesión cerebral aguda.
Autor
Cepeda Toapanta, Jorge Joel
Institución
Resumen
The adult patient corresponds to neurological pathologies, has a longer stay on mechanical ventilation and a higher degree of mortality, considering that mechanical ventilation by itself is capable of inducing or aggravating the underlying pulmonary involvement. The patient with acute brain injury is at greater risk of developing aspiration pneumonia, neurogenic pulmonary edema, acute lung injury and acute respiratory distress syndrome, correct management of mechanical ventilation is essential on this occasion of acute brain injuries have acute respiratory syndrome. The acute respiratory distress syndrome manifesting in the patient in serious condition or with significant brain injury is usually fatal and the risk increases with age and severity of the disease people with acute respiratory syndrome suffer from serious difficulties in breathing and generally cannot Breathing on your own without the support of ventilatory support The treatment consists of supplying oxygen, controlling arterial fluids and gases. The objective of this study is to describe the management of mechanical ventilation in acute respiratory distress syndrome in patients with acute brain injury. Considering the increasingly frequent incorporation of new ventilation strategies such as ventilation in the prone position (PDV), ventilation with high frequency oscillation (HFOV), and the concept of open lung, we refer to the role of this technique in this adult patient. The adult patient corresponds to neurological pathologies, has a longer stay on mechanical ventilation and a higher degree of mortality, considering that mechanical ventilation by itself is capable of inducing or aggravating the underlying pulmonary involvement. The patient with acute brain injury is at greater risk of developing aspiration pneumonia, neurogenic pulmonary edema, acute lung injury and acute respiratory distress syndrome, correct management of mechanical ventilation is essential on this occasion of acute brain injuries have acute respiratory syndrome. The acute respiratory distress syndrome manifesting in the patient in serious condition or with significant brain injury is usually fatal and the risk increases with age and severity of the disease people with acute respiratory syndrome suffer from serious difficulties in breathing and generally cannot Breathing on your own without the support of ventilatory support The treatment consists of supplying oxygen, controlling arterial fluids and gases. The objective of this study is to describe the management of mechanical ventilation in acute respiratory distress syndrome in patients with acute brain injury. Considering the increasingly frequent incorporation of new ventilation strategies such as ventilation in the prone position (PDV), ventilation with high frequency oscillation (HFOV), and the concept of open lung, we refer to the role of this technique in this adult patient. El paciente adulto correspondía a patologías neurológicas, presenta una estadía en ventilación mecánica más prolongada y de mayor grado de mortalidad, considerando que la ventilación mecánica por sí misma es capaz de inducir o agravar el compromiso pulmonar subyacente. El paciente con lesión cerebral aguda presenta mayor riesgo de desarrollar neumonía por aspiración, edema pulmonar neurogenico, lesión pulmonar aguda y el síndrome de distrés respiratorio agudo es fundamental el manejo correcto de ventilación mecánica en esta ocasión de lesiones cerebrales aguda tienen síndrome respiratorio agudo. El síndrome de dificultad respiratoria aguda puede manifestarse en el paciente en estado grave o con lesión cerebral importante suele ser mortal y el riesgo aumenta con la edad y la gravedad de la enfermedad las personas con síndrome de respiratoria aguda padecen dificultades serias para respirar y generalmente no pueden respirar por su cuenta sin el apoyo de un soporte ventilatorio el tratamiento consiste en suministrar oxígeno, controlar los líquidos y gases arteriales. El objetivo de este estudio es describir el manejo de la ventilación mecánica en el síndrome de distrés respiratorio agudo en el paciente con lesión cerebral aguda. Considerando la incorporación cada vez más frecuente de nuevas estrategias de ventilación cómo ventilación en decúbito prono (VDP), ventilación con alta frecuencia oscilatoria (VAFO), y el concepto de pulmón abierto nos referimos al rol de esta técnica en este paciente adulto.